Angela Soulsby, LPN,RHIT

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P34121 Issued in SC

Practice address

101 Austin Ave
Easley, SC 29640-2501

Phone

(864) 905-6210

NPI assigned

Mar 23, 2017

Last updated

Mar 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1942731831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUSTIN AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402501",
            "telephone_number": "864-905-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUSTIN AVE",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402501",
            "telephone_number": "864-905-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULSBY",
        "first_name": "ANGELA",
        "credential": "LPN,RHIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P34121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynne Smith, B.A., CACP
• Calvin Milton Snipes, MD
• Solari Home Care LLC
• Solari Hospice LLC
• Solari Palliative Care LLC
• South Carolina CTC, LLC (Easley Comprehensive Treatment Center)
• South Carolina CVS Pharmacy LLC (CVS Pharmacy#03533)
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #04286)
• South Carolina Inpatient Medicine Associates, LLC
• South Carolina Podiatric Physicians and Surgeons Group,LLC (Piedmont Podiatry Assoc.)

• Licensed Practical Nurse in Easley, SC
• Providers in Easley, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.